Deborah Brown, APRN

Individual provider Active NPI Adult Health Nurse Practitioner · Bridgeport, CT

NPI 1659520153 · NPPES record last updated Sep 9, 2008

Key facts

NPI
1659520153
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
003851 (CT)
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-6120
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
003851CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Neighborhood Health, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 003851 CT Yes

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-6120

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Adult Health Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.